| Gregory W. Evrigenis, D.d.s., M.s.d., A Professional Corporation | |
|
544 Pavilions Ln Sacramento CA 95825-4743 | |
| (916) 923-9168 | |
| Not Available |
| Full Name | Gregory W. Evrigenis, D.d.s., M.s.d., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 544 Pavilions Ln, Sacramento, California |
| Authorized Official Name and Position | Gregory W Evrigenis (OWNER/CEO) |
| Authorized Official Contact | 9169239168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W. Evrigenis, D.d.s., M.s.d., A Professional Corporation 544 Pavilions Ln Sacramento CA 95825-4743 Ph: (916) 923-9168 | Gregory W. Evrigenis, D.d.s., M.s.d., A Professional Corporation 544 Pavilions Ln Sacramento CA 95825-4743 Ph: (916) 923-9168 |
| NPI Number | 1578104519 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578104519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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